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General NPI Number Information
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NPI Number | 1326760778
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Entity Type | Organization
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Legal Business Name | COMPASS RX INC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 4021 MAIN ST UNIT M4-M5
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City | FLUSHING
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State | NY
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Zip | 11354-5518
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Country | US
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Telephone | 718-799-0523
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Fax |
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Provider Business Mailing Address
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Address Line | 5752 256TH ST
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City | LITTLE NECK
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State | NY
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Zip | 11362-2141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | RAYMOND WU
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Credential |
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Telephone | 718-971-3358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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